| NPI | 1588080634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY LILAVOIS Administrator 772-284-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12469) |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2014-03-13 |